原发性腹膜后神经鞘瘤的诊断与显微外科手术治疗

Diagnosis and microscopic resection of primary retroperitoneal neurilemoma

目的探讨原发性腹膜后神经鞘瘤的诊断和显微外科手术治疗的优缺点。方法对22例原发性腹膜后神经鞘瘤患者的诊断和显微外科手术切除的资料进行回顾性分析。结果 22例患者中肿瘤全切17例(77.3%),次全切5例(22.7%);无严重手术并发症;出血量少,平均每例220 ml。结论原发性腹膜后神经鞘瘤早期诊断困难,术前确切病理诊断依赖肿瘤穿刺活检;显微外科手术切除是一种安全有效的手术方式。

Objective To explore the diagnosis and the characteristics of microscopic resection of the primary retroperitoneal neurilemoma .Methods The clinical data of 22 patients with the primary retroperitoneal neruilemoma diagnosed and treated microscopically from March 2003 to October 2014 were analyzed retrospectively .Results Of 22 patients, the tumors of 17 （77.27%） patients were resected totally and 5 （ 22.73%） subtotally. There were not severe surgical complications in all patients, with a little of blood loss （averaged, 220ml）.Conclusions The early diagnosis of the primary retroperitoneal neurilemoma is difficult , and its definite preoperative pathological diagnosis depended on the puncture biopsy;The microscopic surgical resection is a safe and effective operative method to the primary retroperitoneal neurilemoma .